Evidence map›Paper›PMID 42240225›Full record

ArticleThe journal of adhesive dentistry2026

Experts' Willingness to Restore With Direct Composite: Complexity, Cuspal Coverage, and Techniques.

Oliver Bailey, Frank Pfefferkorn, Thomas Attin, Roland Frankenberger, Bas Loomans, Anne-Katrin Lührs, Nicola Scotti, Diana Wolff, Reinhard Hickel, Niek Opdam

Abstract read
In one paragraph

Article in The journal of adhesive dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Oliver Bailey
Frank Pfefferkorn
Thomas Attin
Roland Frankenberger
Bas Loomans
Anne-Katrin Lührs
Nicola Scotti
Diana Wolff
Reinhard Hickel
Niek Opdam

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMinimal evidence exists on how class II cavity complexity influences direct restoration provision or if complexifying factors influence the use of techniques and materials. This study aimed to explore: (1) experts' willingness to restore a variety of specific presentations of class II cavities with direct composite restorations; (2) the influence of cavity characteristics on this and the provision of cuspal coverage; and (3) how varying cavity presentations affected technique and material use. METHODS AND MATERIALS: An e-questionnaire developed by international experts was distributed to 67 experts on direct composite restoration. The questionnaire section reported here presented vignettes of varying class II cavities, coded by potential complexifying factors. Respondents were asked if they would restore them with a direct composite. If so, it then asked what specific materials and techniques would be used. Regression analyses were performed.

resultsVignette response rate was 78%. There was a large variation in willingness to restore varying class II cavity presentations with direct composite. This was significantly influenced by the presence of large inter-proximal 'bridging' gaps, root fillings, broad boxes, ≥ 3 cavity surfaces involved and deep sub-gingival margins. When present, these complexifying characteristics affected material and technique use. Those willing to restore more complex cavities were more likely to use more curved circumferential bands and less likely to use a rubber dam, among other factors.

conclusionCavity complexity affects experts' willingness to place direct composite restorations. The willingness to use a variety of techniques was associated with a greater readiness to restore more complex class II cavities with direct composite.

Indexed as

Attitude of Health PersonnelComposite ResinsDental CariesDental MaterialsDental Restoration, PermanentPractice Patterns, Dentists'Dental Cavity PreparationHumansSurveys and QuestionnairesTooth CrownComposite ResinsDental Materialsadhesive dentistryclass II restorationdeep margin elevationdirect composite resin restorations

Identifiers

PMID42240225
PMCPMC13237434

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.